Download General Surgical Procedure Instructions

General Surgical Procedure Instructions
Items to Consider Before Surgery:
 Surgical patients must be dropped off at the hospital between 7:30 am – 8:30am
If there are special circumstances that hinder you from dropping off your pet between
these times please call the hospital prior to the procedure and we can make alternate
arrangements for you and your pet.
 On the day of your pet’s procedure we will need a contact number where we can reach you at
any point during the day.
 The recovery of your pet after surgery is very important.
We would prefer for your pet to stay indoors in a cool, quiet space where you can
watch for any post-surgical complications. If those conditions cannot be met at home
we would be happy to make arrangements for your pet to stay at the hospital overnight.
Please call us and let us know before your surgical appointment if this would be the
best option for your pet.
The NIGHT Before Your Pets Procedure:
 Your pet’s meal should be fed before 9:00 pm
 Review surgical estimate
 Review, Print and Complete Surgical Admitting Form (next page)
The DAY of Surgery:
 Restrict access to water by 7:00am
 Drop your pet off between 7:30am – 8:30am
The Check in Process:
 This will take approximately 10 minutes
 A receptionist will greet you at arrival and escort you into a room to be checked in by a
technician that will be helping with your pet’s procedure.
 The technicians will go over the consent forms with you and answer any questions you
may have about the procedure your pet is having.
Patient Pick Up:
 Once your pet has fully recovered from anesthesia a technician will call you with an
update and a timeframe for your pets discharge
 Receptionist will process your payment for today’s procedures and escort you to a
room.
They will give you a report card to review.
 A technician will go over your medications and answer any questions you have about
the report card you were given.
 Your pets veterinarian will then answer any questions you may have and bring you your
pet
Animal Name: _____________
Last Name: _______________
Date: _____________
Van Stavern Small Animal Hospital Surgical Admitting Form
Van Stavern Small Animal Hospital Surgical Admitting Form
Owner’s Name: ______________________
Contact Phone Number: ___________________
Would you like for us to CALL
Email: _________________________________________
TEXT EMAIL you about <animal> today? (Circle One)
1. Pre-anesthetic Blood Profile $67.33
Our staff members want to ensure you pet’s well-being. A veterinarian will perform a comprehensive physical exam before sedating
your pet. However, many disorders of the kidneys, liver, heart and blood cannot be detected without a blood test. We strongly
recommend performing a pre-surgical screening before sedating your pet.
Please initial the appropriate box for consent or refusal of this procedure.
Please perform the above test prior to anesthesia
I have elected to refuse this blood work at this time and request that you proceed with anesthesia. I
understand there is always a potential risk with any anesthetic procedure.
2. Consent to Admission
The undersigned hereby warrants that he or she is the owner or authorized agent for the owner above animal and does hereby, consent
and authorize Van Stavern Small Animal Hospital and it’s agents to board, care for and treat said animal . The undersigned
acknowledges that other animals will be located on the premises and hereby authorizes the necessary care and treatment for any
condition that may endanger other animals and hereby agrees to pay the customary charges for such treatments. This includes, but it
not limited to parasites and infectious diseases. The undersigned further acknowledges that no guarantees have been made except
reasonable precautions against injury, escape or illness with the understanding that the undersigned will remain fully responsible for the
cost of all services provided by the Van Stavern Small Animal Hospital and its authorized agents and professionals. The undersigned
acknowledges that all animals admitted must be current on their vaccination and must be free of external parasites. Any animal found
to have fleas or ticks would be treated immediately upon entry into the hospital at the owner’s expense .
Please sign below if you have read and understand the above statements.
(Signature) ________________________________________________________ Date: _________________
3. Consent to Surgical Procedures
I understand the nature and purpose of the procedures, risks involved, and possible complications that could
arise during this surgical procedure. I understand that while the anesthetic used in this hospital is one of the safest
used in veterinary medicine, no anesthetic procedure is without medical risk. Should an emergency situation arise
calling for procedures in addition to the ones previously discussed, that such procedures will be performed. I agree
to pay in full for all services rendered including those deemed necessary for medical or surgical complications.
Please sign below if you have read and understand the above statements
(Signature) ________________________________________________________ Date: _________________
4. Microchip $46.23
Microchips are an implant that can help identify your pet if they get lost. The needles used to implant this chip
are very large and can be implanted at the time of the surgery so that your pet will not feel the needle at all.
Please perform the above procedure.
I have elected to refuse this procedure
My pet already has a microchip implanted; <id>